TAMARA JEAN HALL (NPI# 1669446126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669446126 |
Entity Type | Individual |
Full Name | TAMARA JEAN HALL |
Credential | CPNP |
Practice Address |
377 Th Medical Group Mdos/sgomp Kirtland Afb NM 87117 |
Mailing Address |
5540 Timberfalls Rd Nw Albuquerque NM 87114-0594 |
Practice Telephone | 5058463701 |
Mailing Telephone | 5058187958 |
Enumeration Date | 2006-02-13 |
Last Update Date | 2018-05-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
CNP-01796 | NM | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194362293 | Tamara Hall | Acupuncturist | 8014 S Memorial Dr Ste C, Tulsa, OK 74133-3799 | 2019-12-08 |
1144732553 | Tamara E Hall | Social Worker | 2215 Fuller Rd Dept Mail, Ann Arbor, MI 48105-2303 | 2017-10-26 |
1508180597 | Tamara D Hall | Licensed Practical Nurse | 624 E 85th St, Apt 1, Brooklyn, NY 11236-3430 | 2010-03-18 |
1861607236 | Tamara Lynn Hall | Licensed Practical Nurse | 1145 Twp Rd 1293, Ashland, OH 44805-0000 | 2007-05-11 |
1356401517 | Tamara C Hall | Family Medicine | 86 Harris Dr., Kilmarnock, VA 22482 | 2006-12-11 |
1760095327 | Tamara Leah Hall | Technician | 130 George St, Beckley, WV 25801-2648 | 2020-08-24 |
1730709585 | Tamara Hall | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-04-22 |
1093094997 | Tamara Hall | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2011-08-09 |
Street Address |
377 TH MEDICAL GROUP MDOS/SGOMP |
City | KIRTLAND AFB |
State | NM |
Zip Code | 87117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144214677 | Brandon Clint | Internal Medicine | 377 Th Medical Group, 2050a Second Street Se, Kirtland Afb, NM 87117-5522 | 2005-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245614544 | Rowland Coyle | Military Health Care Provider | 701 Stephen Moody Rd, Albuquerque, NM 87117 | 2015-07-16 |
1649619511 | National Vision Optical | Technician/Technologist | 7901 Gibson Blvd, Bldg 20176, Kirtland, NM 87117 | 2013-06-24 |
1437493020 | Sarah Michael Workman | Nurse Practitioner | 1501 San Pedro Drive Se, Bld 47, 377mdg/mdos/sgow, Albuquerque, NM 87117 | 2012-11-20 |
1871852210 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Kirtland Afb Building 20170, Albuquerque, NM 87117 | 2012-05-04 |
1528180502 | Gay C Davis | Speech-Language Pathologist | 25000 East Kirtland Afb, Wherry Es, Albuquerque, NM 87117 | 2007-04-03 |
1952493017 | Angela Marie Albrecht | Family Medicine | 377 Medical Group 2050 A Second St Se, Albuquerque, NM 87117 | 2006-09-28 |
1104930734 | Lesley Dale Pacheco | Social Worker | 2050 A 2nd Street, Kirtland Afb, NM 87117 | 2006-08-19 |
1053355735 | Joseph Agage Ouma | Family Medicine | 377th Mdg, Kirtland Afb, 2050 A Second St, Se, Albuquerque, NM 87117 | 2006-06-15 |
1033762927 | Mary Mauldin | Registered Nurse | 1515 Eubank Blvd, Albuquerque, NM 87117 | 2019-07-19 |
1811540834 | Angie Leigh Avila-quigley | Registered Nurse | 1515 Eubank, Albuquerque, NM 87117 | 2019-07-18 |
Find all providers in zip 87117 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558960153 | Renea M Reano | Nurse Practitioner | 4701 Irving Blvd Nw Apt 508, Albuquerque, NM 87114-3906 | 2020-10-23 |
1104433952 | Joli Ann Martinez | Nurse Practitioner | 2028 Coba Rd Se, Rio Rancho, NM 87124-8913 | 2020-09-25 |
1124642772 | Little Steps Pediatrics LLC | Nurse Practitioner | 1990 E Lohman Ave Ste A, Las Cruces, NM 88001-3117 | 2020-05-29 |
1558865980 | Kirsten Shelby Guerra | Nurse Practitioner | 4401 E. Lohman Ave ., Suite A, Las Cruces, NM 88011 | 2018-03-21 |
1225552094 | Sacheen Diahn Naddy | Nurse Practitioner | 8650 Alameda Blvd Ne # 101, Albuquerque, NM 87122-3791 | 2017-08-02 |
1336661958 | Camille Caroline Walker | Nurse Practitioner | 437 Loma Linda Loop Ne, Rio Rancho, NM 87124-4717 | 2017-07-14 |
1700242112 | Gustavo Gutierrez | Nurse Practitioner | 800 S County Line Dr, Chaparral, NM 88081 | 2016-01-14 |
1689040461 | Elizabeth Rodgers | Nurse Practitioner | 700 Lomas Blvd Ne, 3 Woodward Center, Albuquerque, NM 87102 | 2015-08-17 |
1891026563 | Lori Myers | Nurse Practitioner | 1721 Rio Rancho Blvd. Nw, Rio Rancho, NM 87124 | 2010-01-20 |
1972833523 | Deborah J Angeles | Nurse Practitioner | 27th Special Operations Medical Group, 224 W Dl Ingram Ave, Cannon Afb, NM 88103-5103 | 2010-01-04 |
Find all providers with the same taxonomy |
City | KIRTLAND AFB |
Zip Code | 87117 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.